Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Liver disorders
nrsg
| Question | Answer |
|---|---|
| Liver is a .... organ | vital |
| functions of liver | - produce clotting factor - release glycogen to be turned into glucose - filtration of blood (meds) |
| Disorder of the Liver | Cirrhosis |
| Cirrhosis is the .... | damage of the tissue |
| damage to the liver tissue cx | enlargement, fibrosis, scarring, loss of effective hepatic function |
| daily max dose of acetophemonem for a day | 4 g |
| cx for cirrhosis | 1. ETOH 2. Viral Hepatitis 3. hepatoxins (meds = Tylenol) 4. infections 5. congenital 6. biliary tree obstruction 7. R sided CHF (backing up into periphery, liver, and abd organs) 8. Idiopathic |
| what happens to liver initially? | hepatomegaly |
| later: | becomes hard and nodular |
| Assessment | - Hx and family hx - chemical exposuor re - use of hepatoxic meds |
| symptoms | 1. malaise 2. anorexia 3. palpable liver (early) abd girth inc as liver enlarges 4. jaundice 5. fetor hepaticus (fruity or musty breath) 6. Asterixis (hand flapping tremors)7. bruising, erythema, bleeding abnormalities 8. gynecosmastia, testicular atrophy |
| symptoms of Jaundice | 1. yellow skin, sclera, and m.m. 2. dark-color urine 3. chalk clay-colored stools |
| why do they vomit blood? | r/t esophageal varices (bulging of vessels in the esophagus) |
| what is the intervention for heptaemesis? | report = emergency maintain air way (suctioning) |
| Palmer erythema | redness in palms of handes |
| ascites | has to do w/ Albumin being shifted outside of the vessels and pulling fluid into peritoneal cavity causing a fluid wave |
| how to get fluid out of there? | perioscenticis |
| what is a nursing action before a perioscentices? | voiding (empty bladder) |
| what drug can be given when esophageal varices occur? | vasopressin vit K coagulation factors bld transfusion |
| LAbs (elevated) | bilirubin AST/ ALT alkaline phosphate PT amonia |
| what vhappens when amonia increases? | neurological problems |
| what diet is needed if amonia is elevated? | low protein |
| Labs (decreased) | Hgb Hct electrolytes (K) albumin |
| what is the only organ of the body that regenerates itself? | liver |
| what drug is used to get rid of the Amonia through defecation? | Lactulose s/e: diarrhea **education: if you don't take it, amonia will increase to the point of hepatic coma |
| HEPATITIS | inflamation of the liver |
| types | Hesi page 121 |
| source of infection | |
| route of infection |
Created by:
luwetherrbee
Popular Medical sets